The Association of Physical Activity and Healthy Eating Behaviours with Mental Health among Adolescents Aged 13-15 in Indonesia
DOI:
https://doi.org/10.65280/panhsj.v1i1.33Keywords:
Physical activity, balanced nutrition, sedentary behavior, mental health, academic achievement, adolescenceAbstract
This quantitative cross-sectional study aimed to analyze the influence of balanced nutrition behavior, halal food consumption, prayer habits, physical activity, and sedentary behavior on adolescent mental health and academic achievement. The study involved 249 students aged 13–17 years from SMPN 17 Makassar, using self-administered questionnaires and random sampling. Data were analyzed through univariate, bivariate, and multivariate (Binary Logistic Regression) methods using SPSS 20.0. The findings showed that unbalanced nutrition behaviors significantly affected mental health and academic performance. Adolescents who felt hungry due to insufficient food intake were more likely to feel bored (OR 1.78, p=0.04) and have difficulty completing tasks (OR 2.52, p=0.006). Not consuming fruits and vegetables and frequently eating instant noodles were also associated with low academic scores. The consumption of haram food or drinks and the lack of fardhu or sunnah prayers were linked to feelings of loneliness, anxiety, and lower school grades (OR 3.17, p=0.041). Physical inactivity and sedentary behavior were also significantly correlated with loneliness and academic difficulties. In conclusion, unhealthy lifestyle behaviors independently contribute to poor mental health and low academic achievement. Therefore, school- and family-based interventions are essential to promote healthy, active, and faith-based lifestyles among adolescents.
References
[1] R. A. Yusuf, D. F. Mont, W.-H. Lin, and H.-J. Chen, “Adolescents’ Physical Activity and the Association With Perceived Social Support of Parents and Peers in Indonesia,” Asia Pacific Journal of Public Health, p. 1010539521997255, 2021.
[2] L. Li et al., “Fast food consumption among young adolescents aged 12-15 years in 54 low- and middle-income countries.,” Glob Health Action, vol. 13, no. 1, p. 1795438, Dec. 2020, doi: 10.1080/16549716.2020.1795438.
[3] T. T. Su, M. Azzani, A. P. Adewale, N. Thangiah, R. Zainol, and H. Majid, “Physical Activity and Health-Related Quality of Life Among Low-Income Adults in Metropolitan Kuala Lumpur.,” J Epidemiol, vol. 29, no. 2, pp. 43–49, Feb. 2019, doi: 10.2188/jea.JE20170183.
[4] P. V. N. Nguyen, T. K. Hong, T. Hoang, D. T. Nguyen, and A. R. Robert, “High prevalence of overweight among adolescents in Ho Chi Minh City, Vietnam.,” BMC Public Health, vol. 13, p. 141, Feb. 2013, doi: 10.1186/1471-2458-13-141.
[5] E. L. Faught, D. Gleddie, K. E. Storey, C. M. Davison, and P. J. Veugelers, “Healthy lifestyle behaviours are positively and independently associated with academic achievement: An analysis of self-reported data from a nationally representative sample of Canadian early adolescents,” PLoS One, vol. 12, no. 7, p. e0181938, 2017.
[6] T. Burrows, S. Goldman, K. Pursey, and R. Lim, “Is there an association between dietary intake and academic achievement: a systematic review,” Journal of Human Nutrition and Dietetics, vol. 30, no. 2, pp. 117–140, 2017.
[7] A. L. Fedewa and S. Ahn, “The effects of physical activity and physical fitness on children’s achievement and cognitive outcomes: a meta-analysis,” Res Q Exerc Sport, vol. 82, no. 3, pp. 521–535, 2011.
[8] R. E. Schmidt and M. Van der Linden, “The relations between sleep, personality, behavioral problems, and school performance in adolescents,” Sleep Med Clin, vol. 10, no. 2, pp. 117–123, 2015.
[9] V. Carson et al., “Systematic review of sedentary behaviour and health indicators in school-aged children and youth: An update,” Applied Physiology, Nutrition and Metabolism, vol. 41, no. 6, pp. S240–S265, 2016, doi: 10.1139/apnm-2015-0630.
[10] T. M. Burkhalter and C. H. Hillman, “A narrative review of physical activity, nutrition, and obesity to cognition and scholastic performance across the human lifespan,” Advances in Nutrition, vol. 2, no. 2, pp. 201S-206S, 2011.
[11] C. E. Basch, “Healthier students are better learners: A missing link in school reforms to close the achievement gap,” Journal of school health, vol. 81, no. 10, pp. 593–598, 2011.
[12] G. Mura, M. Vellante, A. Egidio Nardi, S. Machado, and M. Giovanni Carta, “Effects of school-based physical activity interventions on cognition and academic achievement: a systematic review,” CNS & Neurological Disorders-Drug Targets (Formerly Current Drug Targets-CNS & Neurological Disorders), vol. 14, no. 9, pp. 1194–1208, 2015.
[13] N. G. Murray, B. J. Low, C. Hollis, A. W. Cross, and S. M. Davis, “Coordinated school health programs and academic achievement: a systematic review of the literature,” Journal of school health, vol. 77, no. 9, pp. 589–600, 2007.
[14] WHO, “Global School-Based Student Health Survey 2015.” Accessed: Dec. 20, 2021. [Online]. Available: https://extranet.who.int/ncdsmicrodata/index.php/catalog/489
[15] G. Xu et al., “Physical behaviors of 12-15 year-old adolescents in 54 low- and middle-income countries: Results from the Global School-based Student Health Survey.,” J Glob Health, vol. 10, no. 1, p. 10423, Jun. 2020, doi: 10.7189/jogh.10.010423.
[16] R. A. Lima et al., “Determinants of Cognitive Performance in Children and Adolescents: A Populational Longitudinal Study.,” 2022. doi: 10.3390/ijerph19158955.
[17] S. Kedir, K. Hassen, Y. Melaku, and M. Jemal, “Determinants of overweight and/or obesity among school adolescents in Butajira Town, Southern Ethiopia. A case-control study.,” 2022. doi: 10.1371/journal.pone.0270628.
[18] M. Rodriguez-Ayllon et al., “Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: a systematic review and meta-analysis,” Sports medicine, vol. 49, no. 9, pp. 1383–1410, 2019.
[19] L. R. B. Silva et al., “Physical inactivity is associated with increased levels of anxiety, depression, and stress in Brazilians during the COVID-19 pandemic: a cross-sectional study,” Front Psychiatry, vol. 11, p. 565291, 2020.
[20] C. H. Hillman, N. E. Logan, and T. T. Shigeta, “A review of acute physical activity effects on brain and cognition in children,” Transl J Am Coll Sports Med, vol. 4, no. 17, pp. 132–136, 2019.
[21] D. Lubans et al., “Physical activity for cognitive and mental health in youth: a systematic review of mechanisms,” Pediatrics, vol. 138, no. 3, p. e20161642, 2016.
[22] D. Di Corrado, “Biological underpinnings of mood and the role of physical exercise,” Sport Sci Health, vol. 13, no. 3, pp. 461–468, 2017.
[23] F. J. de Menezes-Junior, Í. C. Jesus, C. Brand, J. Mota, and N. Leite, “Physical exercise and brain-derived neurotrophic factor concentration in children and adolescents: a systematic review with meta-analysis,” Pediatr Exerc Sci, vol. 34, no. 1, pp. 44–53, 2021.
[24] R. M. Eime, J. A. Young, J. T. Harvey, M. J. Charity, and W. R. Payne, “A systematic review of the psychological and social benefits of participation in sport for children and adolescents: informing development of a conceptual model of health through sport,” International journal of behavioral nutrition and physical activity, vol. 10, no. 1, p. 98, 2013.
[25] M. H. Andersen, L. Ottesen, and L. F. Thing, “The social and psychological health outcomes of team sport participation in adults: An integrative review of research,” Scand J Public Health, vol. 47, no. 8, pp. 832–850, 2019.
[26] G. Zhang, W. Feng, L. Zhao, X. Zhao, and T. Li, “The association between physical activity, self-efficacy, stress self-management and mental health among adolescents,” Sci Rep, vol. 14, no. 1, p. 5488, 2024.
[27] S. Hossain, A. Anjum, M. T. Hasan, M. E. Uddin, M. S. Hossain, and M. T. Sikder, “Self-perception of physical health conditions and its association with depression and anxiety among Bangladeshi university students,” J Affect Disord, vol. 263, pp. 282–288, 2020.
[28] J. Beltrán et al., “Relationships between depression, anxiety, and motivation in the real-world: Effects of physical activity and screentime,” medRxiv, 2024.
[29] R. A. Sloan, S. S. Sawada, D. Girdano, Y. T. Liu, S. J. H. Biddle, and S. N. Blair, “Associations of sedentary behavior and physical activity with psychological distress: a cross-sectional study from Singapore.,” BMC Public Health, vol. 13, p. 885, Sep. 2013, doi: 10.1186/1471-2458-13-885.
[30] S. Hayati et al., “Gambaran Sedentary Lifestyle Pada,” vol. 10, no. 2, pp. 250–265, 2022.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Physical Activity, Nutrition and Health Sciences Journal

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC Attribution-NonCommercial-ShareAlike 4.0






